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LONG & HARRIS DERMATOLOGY PLLC
NPI 1962928440
Dermatology in Lubbock, TX

Active since August 16, 2017CLIA 45D2138593 · Waiver
6102 82ND ST STE 15, LUBBOCK, TX 79424(806) 749-7933(806) 749-6117 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 12, 2025, Jul 21, 2022, Aug 21, 2017 and 1 more (4 updates tracked since 2017).

About Long & Harris Dermatology Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONG & HARRIS DERMATOLOGY PLLC (NPI 1962928440) is a healthcare organization registered as a dermatology in Lubbock, Texas and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Bryan Harris, Authorized Official/owner, as its authorized official.

NPPES Registry Identity

NPI1962928440
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLONG & HARRIS DERMATOLOGY PLLC
Location Address6102 82ND ST STE 15Lubbock, TX 79424-0802
Mailing Address6102 82nd St Ste 15Lubbock, TX 79424-0802 · (806) 749-7933 · Fax (806) 749-6117
Phone(806) 749-7933
Fax(806) 749-6117
Organization SubpartNo
Authorized OfficialBryan HarrisAuthorized Official/owner · (806) 300-1877
Enumeration DateAugust 16, 2017
Last NPPES UpdateAugust 12, 20254 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
✔ NPI 1962928440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
6102 82ND ST STE 15, Lubbock, TX 79424
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Other Names 2

Doing Business AsLong & Harris Dermatology Pllc
Doing Business AsLubbock Dermatology West

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Long & Harris Dermatology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Long & Harris Dermatology PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Bryan Harris, M.D.
Dermatology
NPI 1174553556
6102 82ND ST STE 15
Lubbock, TX 79424
(806) 749-7933
✔ PECOS✔ Accepts MedicareSame address
Jay Truitt, MD, PHD, PHARMD, MPH
Dermatology
NPI 1659868909
6102 82ND ST STE 15
Lubbock, TX 79424
(806) 749-7933
✔ PECOS✔ Accepts MedicareSame address
Lisa Cordova, FNP-C
Nurse Practitioner
NPI 1225408271
6102 82ND ST STE 15
Lubbock, TX 79424
(806) 749-7933
✔ PECOS✔ Accepts MedicareSame address
Michael Long, M.D.
Dermatology
NPI 1386676542
6012 82ND ST STE 15
Lubbock, TX 79424
(806) 749-7933
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2138593

Long & Harris Dermatology, PLLC · Lubbock, TX
Active · expires Apr 4, 2028
CLIA Number45D2138593
Laboratory TypePhysician Office
Certificate Effective DateApril 5, 2026
Certificate Expiration DateApril 4, 2028
Laboratory DirectorBryan Douglas Harris
Laboratory Phone(806) 749-7933
Laboratory LocationLong & Harris Dermatology, PLLC6102 82nd Street, Suite 15, Lubbock, TX 79424
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Long & Harris Dermatology PLLC's NPI number?

The NPI number for Long & Harris Dermatology PLLC is 1962928440. It was assigned to this organization in the NPPES registry on August 16, 2017. The provider is doing business as Lubbock Dermatology West.

Where is Long & Harris Dermatology PLLC located?

Long & Harris Dermatology PLLC is located at 6102 82nd St Ste 15, Lubbock, TX 79424. The listed phone number is (806) 749-7933.

What is Long & Harris Dermatology PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Long & Harris Dermatology PLLC enrolled in Medicare?

Yes. Long & Harris Dermatology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Long & Harris Dermatology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Long & Harris Dermatology PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dermatology (3) and Nurse Practitioner (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Long & Harris Dermatology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2138593) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Long & Harris Dermatology PLLC was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.